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Today's Date: OB/GUN PATIENT HEALTH HISTORY QUESTIONNAIRE A NAME: AGE: DOB: 1. Marital Status: I Single I Married I Long term Relationship I Divorced I Widowed 2. Reason for this visit: 3. Referring.
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Sss obstetrical history form pdf FAQ
Presenting complaint Last menstrual period (LMP) - date of first day of bleeding. Cycle length and frequency - eg, 5/28, five days of bleeding every 28 days. Heaviness of bleeding. ... Presence or absence of intermenstrual bleeding (IMB). Presence or absence of postcoital bleeding (PCB). Age of menarche/menopause.
You can ask questions about your body, growing up, and sex. You may also have certain exams and vaccinations. Your doctor may ask a lot of questions about you and your family. Some of them may seem personal, such as questions about your menstrual period or sexual activities (including vaginal, oral, or anal sex).
Doctors in obstetrics and gynaecology (O&G) care for pregnant women and unborn children, and look after women's sexual and reproductive health.
It is important to ask about pain, associated trauma (including domestic violence), fever/malaise, recent ultrasound scan results (e.g. position of the placenta), cervical screening history, sexual history and past medical history to help narrow the differential diagnosis.
We may also ask questions such as: Do you have irregular periods? How bad are your period cramps? Do you have any uncomfortable itching? Are you having sex? If you are having sex, do you use condoms? Are you using another form of birth control?
For the gynecologic history, doctors ask about the problem prompting the visit, past and present menstrual periods, past pregnancies, sexual activities, and gynecologic symptoms, disorders, and treatments that the woman has had in the past.
Obstetric history. Patients should be asked to list all pregnancies and the outcome of each, with attention to whether the pregnancy was intrauterine or ectopic....Menstrual History. Age at menarche. ... Last menstrual period (LMP). ... Menstrual pattern and associated symptoms. ... Perimenopause/menopause.
Previous Obstetric History. A good starting point is to ask about number of children the patient has given birth to. Next, sensitively ask about miscarriages, stillbirths, ectopics and terminations.
Sss obstetrical history form 2023 Related content
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